COMPLIANCE INFO_2006-2009 - Laserfiche WebLink

Home Browse Search

UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE I TYPE OF ACTION ❑ I.NEW PLAN ® 2.CHANGE OF INFORMATION Mol. PLAN TYPE ® MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mm_. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - _ BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UE020/LODICA01 Moa. BUSINESS SITE ADDRESS 124 W. ELM STREET M04. CITY LODI M05_ II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be perforned by qualified personnel. MONITORING EQUIPMENT 1S SERVICED ® L ANNUALLY Mas. ❑ 99.OTHER(Specify): Mol. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location ofeach sensor,line leak detector,monitoring system control panel,etc.). Ifyou already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mlo ® 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.VACUUM Mn. PANEL MANUFACTURER: Veeder Root M12. MODEL#: TLS-350 M13. LEAK SENSOR MANUFACTURER: Veeder Root M14. MODEL#(S):794390420 MI5" ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16' MODEL#: M17. IN-TANK PROBE MANUFACTURER: MIR' MODEL#(S): M1y. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY M20. [3d.MONTHLY [3e.OTHER(Specify): M21. PROGRAMMED TESTS: [3a.O.l g.p.h. [3b.0.2 g.p.h. [3c.OTHER(Specify): M22.M23 ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26.M27 ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Re"irea age yappmao ❑ 99.OTHER(Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao' ® 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SYTRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.VACUUM M31. PANEL MANUFACTURER: Veeder Root M32. MODEL#: TLS-350 M33. LEAK SENSOR MANUFACTURER: Veeder Root Mia MODEL#(S): 794380-208 M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ® b.NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? I❑ a.YES ® b.NO M37. ❑ 2. MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): Mme' MODEL#(S): May' ❑ 3. ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: M40' MODEL#: Mat. PROGRAMMED IN LINE TESTING: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44' ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45.M46. ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY' ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. "Raluna agency approval -All-ed fa monitoring of a.buried emergency gawata fuel piping only per NSC 025291.5(bH3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) M4R. ❑ 99.OTHER(Specify) hwfwrc-d(9/24/04)-2/4